Mrs Lori Reeds Waggoner, MS CCC/SLP is a
Speech-language Pathologist based in Pinckneyville, Illinois. Mrs Lori Reeds Waggoner is licensed to practice in Illinois (license number 146005164) and her current practice location is
301 W Mulberry St, Pinckneyville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 357-5161.
NPI number for Mrs Lori Reeds Waggoner is 1629596671 and her current mailing address is 301 W Mulberry St, Pinckneyville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629596671.
Healthcare Provider's Profile
Full Name | Mrs Lori Reeds Waggoner |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 301 W Mulberry St, Pinckneyville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629596671
- Provider Enumeration Date: 08/30/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mrs Lori Reeds Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629596671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146005164 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lori Reeds Waggoner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lori Reeds Waggoner, MS CCC/SLP 301 W Mulberry St, Pinckneyville, IL 62274-1370 Ph: (618) 357-5161 | Mrs Lori Reeds Waggoner, MS CCC/SLP 301 W Mulberry St, Pinckneyville, IL 62274-1370 Ph: (618) 357-5161 |
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